Account Setup
for
Pharmaceutical Services
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Get Registered. Download the Customer Registration Form and Inventory Forms below.
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Gather the Details. Fill out the Customer Verification Form completely and the optional credit application
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Licenses. Provide copies of your DEA Registration, State Controlled Substance License (if applicable) and other State Licenses
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Send the completed Customer Registration Form, optional credit application and all licenses via Fax (480) 659-2353 or email to compliance@123compliant.com.
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We will contact you to confirm your information has been validated and your account is active